ArticleFrontiers in medicine2025
Prolonged intensive care therapy in nonagenarians admitted to the intensive care unit-clinical characteristics, risk factors and outcomes.
Article in Frontiers in medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Introduction: Intensive care unit (ICU) admissions of very elderly patients (≥90 years) have increased in recent years. To date, it remains unclear if prolonged ICU treatment (≥7 days) is justified regarding outcome. Yet, factors associated with prolonged ICU stay remain unknown in the very elderly critically ill population. Materials and methods: This retrospective study analysed all adult patients aged ≥90 years consecutively admitted to the ICU at a tertiary care centre in Hamburg, Germany, (01/01/2008-03/31/2019). Multivariable regression and Kaplan-Meier estimates were employed to assess the independent predictors of a prolonged ICU stay. Results: Of 1,091 very elderly patients admitted to the ICU, 10% ( Conclusion: Approximately 10% of critically ill patients aged 90 years and above experienced prolonged ICU stays which was significantly associated with increased mortality. Prolonged ICU therapy has little long-term benefit and high mortality. Therefore, providing prolonged ICU treatment must be carefully considered incorporating individual frailty, premorbid function, and goals of care.
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